Organization
PRESTIGE TRANSIT PRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEDRIAN JAVON BLACKMON (CO-OWNER)
(919) 737-4409
Entity
Organization
Contact information
Practice address
2006 PHILLIPS AVE, GREENSBORO, NC 27405-5953
(919) 737-4409
Mailing address
2006 PHILLIPS AVE, GREENSBORO, NC 27405-5953
(919) 737-4409
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
—
—
342000000X
Transportation Network Company
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347B00000X
Bus
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
07/19/2024
Last updated
06/04/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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